DR. LARRY LEE WALTER (NPI# 1356416549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356416549 |
| Entity Type | Individual |
| Full Name | DR. LARRY LEE WALTER |
| Credential | O.D. |
| Practice Address |
955 2nd St Ne Hickory NC 28601-3840 |
| Practice Telephone | 8283279679 |
| Practice Fax Number | 8283276045 |
| Mailing Telephone | 8283279679 |
| Mailing Fax Number | 8283276045 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0816 | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | VISION SERVICE PLAN | 560902791 | 01 |
| NC | VISION CARE PLAN | 560902791 | 01 |
| NC | BCBS OF NC | 09942 | 01 |
| NC | PALMETTO GOV BENEFITS ADM | 0608100001 | 01 |
| NC | DAVIS VISION | 4643 | 01 |
| NC | 8909942 | 05 |
| Street Address |
955 2ND ST NE |
| City | HICKORY |
| State | NC |
| Zip Code | 28601-3840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555236 | Mathew Ryan Dunn | Specialist/Technologist | 755 5th St Ne, Hickory, NC 28601 | 2020-10-14 |
| 1669086757 | Alex Neil Hines | Massage Therapist | 2759 North Center Street, Hickory, NC 28601 | 2020-09-04 |
| 1306327515 | Natasha Anderson | Nurse Practitioner | 2830 16th St Ne Apt 94, Hickory, NC 28601 | 2018-08-25 |
| 1902382120 | Danielle Marie Cisney | Counselor | 1219 10th Street Blvd Nw Apt F, Hickory, NC 28601 | 2018-07-11 |
| 1295243681 | Maggie Isabelle Mccarrick | Specialist/Technologist | 2225 6th St Nw, Hickory, NC 28601 | 2018-01-19 |
| 1487165395 | Healthstat Onsite Clinic Hsm Metal | Preventive Medicine | 180 Mcdonald Parkway Sw, Hickory, NC 28601 | 2017-10-18 |
| 1407249691 | Alexcia Dawn Pennell | Registered Nurse | 1501 Tate Blvd Sw, Suite 201, Hickory, NC 28601 | 2015-03-11 |
| 1134527484 | Pamilla Griffin Yount | Specialist | 825 3rd Ave. Nw, Hickory, NC 28601 | 2014-12-18 |
| 1831593615 | Josephine Lovelace Polhemus | Pharmacist | 12th Avenue Ne, Hickory, NC 28601 | 2014-10-22 |
| 1275957128 | Amy Lor | Acupuncturist | 46 Cloninger Mill Rd Ne Ste E, Hickory, NC 28601 | 2014-02-13 |
| Find all providers in zip 28601 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417265976 | Yupheng Ly | Optometrist | 2339 Us Highway 70 Se, Hickory, NC 28602-8300 | 2010-09-17 |
| 1477696656 | Melanie Suzanne Kiser | Optometrist | 1960 Us Highway 70 Se, Hickory, NC 28602-5106 | 2007-02-15 |
| 1750442976 | Michael Richard Sigmon | Optometrist | 2063 15th Avenue Pl Se, Hickory, NC 28602-8340 | 2006-12-12 |
| 1730286980 | Jody Dale Papazekos | Optometrist | 27 13th Ave Ne, Hickory, NC 28601-3766 | 2006-09-20 |
| 1417066366 | Kevin James Mercado | Optometrist | 2440 Century Pl Se, Vamc Outpatient Clinic, Hickory, NC 28602-4031 | 2006-08-30 |
| 1659395192 | Fariha Peters | Optometrist | 2266 Us Highway 70 Se, Hickory, NC 28602-8302 | 2006-07-27 |
| 1184693202 | Robert A Bisanar | Optometrist | 305 3rd Ave Nw, Hickory, NC 28601-4913 | 2006-03-14 |
| 1639162597 | Walter Lee King Jr. | Optometrist | 336 10th Ave Ne, Hickory, NC 28601-3834 | 2005-08-25 |
| 1922000892 | Claremont Optometric Eye Care Center, LLC | Optometrist | 3038 Nc Highway 127 S, Hickory, NC 28602-5404 | 2005-08-11 |
| 1699776096 | Thomas Keith Boan | Optometrist | 1060 Lenoir Rhyne Blvd Se, Hickory, NC 28602-4330 | 2005-08-09 |
| Find all providers in HICKORY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.